Matches in SemOpenAlex for { <https://semopenalex.org/work/W4377029298> ?p ?o ?g. }
Showing items 1 to 67 of
67
with 100 items per page.
- W4377029298 endingPage "A12" @default.
- W4377029298 startingPage "A12.2" @default.
- W4377029298 abstract "Introduction Increasingly, hospitals rely on local clinical practice guidelines (CPGs) alongside national guidance to standardise clinical care. This study examines variation between national and local CPGs, using the example of acute paediatric asthma (APA) CPGs from the United Kingdom and the Netherlands. Methods Fifteen British and Dutch local CPGs were collected with the matching national guidance for the management of APA. The drug sequences, routes and methods of administration recommended for patients with severe APA were represented. Deviations from national guidance were measured. Variation in recommended doses of intravenous salbutamol was examined. CPG quality was assessed using the AGREE II instrument. Results British and Dutch national CPGs differed in the recommended drug choices, sequences, routes and methods of administration for severe APA. Local British CPGs diverged from national guidance for 23% of their recommended interventions compared to 8% for Dutch local CPGs. Variation in second-line recommendations was greater than for first-line recommendations across local CPGs from both countries. Recommended starting doses for salbutamol infusions varied by more than tenfold. The quality of the sampled local CPGs was low across five out of six AGREE domains (<60%). Conclusions Local CPGs for the management of severe APA featured substantial variation and frequently diverged from national guidance. Their methodological quality was low. Although limited to one condition, this study suggests that unmeasured variation across local CPGs may contribute to variation of care more broadly, potentially undermining healthcare quality." @default.
- W4377029298 created "2023-05-19" @default.
- W4377029298 creator A5003034790 @default.
- W4377029298 creator A5004319059 @default.
- W4377029298 creator A5021323660 @default.
- W4377029298 creator A5035604247 @default.
- W4377029298 creator A5063381442 @default.
- W4377029298 creator A5071550327 @default.
- W4377029298 date "2023-05-18" @default.
- W4377029298 modified "2023-09-28" @default.
- W4377029298 title "36 Mapping variation between national and local clinical practice guidelines for acute paediatric asthma from the United Kingdom and the Netherlands" @default.
- W4377029298 doi "https://doi.org/10.1136/archdischild-2023-esdppp.36" @default.
- W4377029298 hasPublicationYear "2023" @default.
- W4377029298 type Work @default.
- W4377029298 citedByCount "0" @default.
- W4377029298 crossrefType "journal-article" @default.
- W4377029298 hasAuthorship W4377029298A5003034790 @default.
- W4377029298 hasAuthorship W4377029298A5004319059 @default.
- W4377029298 hasAuthorship W4377029298A5021323660 @default.
- W4377029298 hasAuthorship W4377029298A5035604247 @default.
- W4377029298 hasAuthorship W4377029298A5063381442 @default.
- W4377029298 hasAuthorship W4377029298A5071550327 @default.
- W4377029298 hasBestOaLocation W43770292981 @default.
- W4377029298 hasConcept C121332964 @default.
- W4377029298 hasConcept C126322002 @default.
- W4377029298 hasConcept C159110408 @default.
- W4377029298 hasConcept C160735492 @default.
- W4377029298 hasConcept C162324750 @default.
- W4377029298 hasConcept C27415008 @default.
- W4377029298 hasConcept C2776042228 @default.
- W4377029298 hasConcept C2778334786 @default.
- W4377029298 hasConcept C44870925 @default.
- W4377029298 hasConcept C50522688 @default.
- W4377029298 hasConcept C512399662 @default.
- W4377029298 hasConcept C71924100 @default.
- W4377029298 hasConceptScore W4377029298C121332964 @default.
- W4377029298 hasConceptScore W4377029298C126322002 @default.
- W4377029298 hasConceptScore W4377029298C159110408 @default.
- W4377029298 hasConceptScore W4377029298C160735492 @default.
- W4377029298 hasConceptScore W4377029298C162324750 @default.
- W4377029298 hasConceptScore W4377029298C27415008 @default.
- W4377029298 hasConceptScore W4377029298C2776042228 @default.
- W4377029298 hasConceptScore W4377029298C2778334786 @default.
- W4377029298 hasConceptScore W4377029298C44870925 @default.
- W4377029298 hasConceptScore W4377029298C50522688 @default.
- W4377029298 hasConceptScore W4377029298C512399662 @default.
- W4377029298 hasConceptScore W4377029298C71924100 @default.
- W4377029298 hasIssue "6" @default.
- W4377029298 hasLocation W43770292981 @default.
- W4377029298 hasOpenAccess W4377029298 @default.
- W4377029298 hasPrimaryLocation W43770292981 @default.
- W4377029298 hasRelatedWork W2013352969 @default.
- W4377029298 hasRelatedWork W2018948120 @default.
- W4377029298 hasRelatedWork W2052139239 @default.
- W4377029298 hasRelatedWork W2336746283 @default.
- W4377029298 hasRelatedWork W2374430816 @default.
- W4377029298 hasRelatedWork W2410569622 @default.
- W4377029298 hasRelatedWork W4235375593 @default.
- W4377029298 hasRelatedWork W4322724676 @default.
- W4377029298 hasRelatedWork W4322728326 @default.
- W4377029298 hasRelatedWork W4378904092 @default.
- W4377029298 hasVolume "108" @default.
- W4377029298 isParatext "false" @default.
- W4377029298 isRetracted "false" @default.
- W4377029298 workType "article" @default.